CN205339046U - Simple and easy hepatic portal block device under peritoneoscope - Google Patents
Simple and easy hepatic portal block device under peritoneoscope Download PDFInfo
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- CN205339046U CN205339046U CN201620026765.7U CN201620026765U CN205339046U CN 205339046 U CN205339046 U CN 205339046U CN 201620026765 U CN201620026765 U CN 201620026765U CN 205339046 U CN205339046 U CN 205339046U
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- 230000002440 hepatic effect Effects 0.000 title claims abstract description 23
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 82
- 238000002347 injection Methods 0.000 claims abstract description 41
- 239000007924 injection Substances 0.000 claims abstract description 41
- 230000006835 compression Effects 0.000 claims abstract description 21
- 238000007906 compression Methods 0.000 claims abstract description 21
- 239000004033 plastic Substances 0.000 claims description 2
- 230000001681 protective effect Effects 0.000 claims description 2
- 238000002357 laparoscopic surgery Methods 0.000 abstract description 6
- 210000004185 liver Anatomy 0.000 abstract description 5
- 238000001356 surgical procedure Methods 0.000 abstract description 5
- 230000000903 blocking effect Effects 0.000 description 11
- 230000017531 blood circulation Effects 0.000 description 4
- 238000010586 diagram Methods 0.000 description 4
- 210000003041 ligament Anatomy 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 238000007629 laparoscopic insertion Methods 0.000 description 2
- 206010019695 Hepatic neoplasm Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 208000014018 liver neoplasm Diseases 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 230000002485 urinary effect Effects 0.000 description 1
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Abstract
本实用新型提供一种腹腔镜下简易肝门阻断器，由T字形卡口、压迫带、带状水囊、圆孔、插入式卡口、注水管和自护式压力控制注水装置组成，压迫带内侧衬有带状水囊，注水管的一端与连接带状水囊，另一端与自护式压力控制注水装置相连，压迫带的头端带有T字形卡口，压迫带的尾端与插入式卡口相连接。本实用新型设计合理，注水管不影响腔镜下手术视野，且通过自护式压力控制注水装置可以随时使用常规注射器通过向水囊注水或抽水，拔出注射器后能自行封堵注水口，保持水囊压力，迅速控制肝门阻断，而不需要中断腔镜手术，节省腹腔镜下留置肝门阻断的时间，手术部位遮挡少，手术视野清晰，有利于开放或腹腔镜下肝脏手术的进行。
The utility model provides a simple hepatic portal blocker under laparoscopy, which is composed of a T-shaped bayonet, a compression belt, a strip-shaped water bag, a round hole, a plug-in bayonet, a water injection pipe and a self-protecting pressure control water injection device. The inner side of the compression belt is lined with a belt-shaped water bag, one end of the water injection pipe is connected to the belt-shaped water bag, and the other end is connected to the self-protecting pressure control water injection device. Connects to the plug-in bayonet. The utility model has a reasonable design, and the water injection pipe does not affect the surgical field of view under the endoscope, and through the self-protecting pressure control water injection device, the conventional syringe can be used at any time to inject or pump water into the water bag, and after the syringe is pulled out, the water injection port can be blocked by itself to maintain The pressure of the water sac can quickly control the hepatic hilum occlusion without interrupting the laparoscopic operation, saving the time of laparoscopic indwelling hepatic hilum occlusion, the surgical site is less blocked, and the surgical field of view is clear, which is conducive to open or laparoscopic liver surgery. conduct.
Description
技术领域technical field
本实用新型属于医疗辅助器械，涉及一种腹腔镜下简易肝门阻断器。The utility model belongs to medical auxiliary equipment and relates to a simple hepatic portal blocker under the laparoscope.
背景技术Background technique
目前，肝脏肿瘤的治疗方法主要以手术为主。由于肝脏的血供丰富，既往的开腹手术主要以传统的Pringle法、导尿管进行间断的肝门阻断，控制肝脏切除时的出血。然而，随着腹腔镜外科的进展，大量的肝脏外科手术可以在腹腔镜下完成，但是在腹腔镜下，肝门阻断的方法一直是一个难题，或妨碍视野，或不能随意的开放阻断。因此，提供一种简易的肝门阻断装置，使得腹腔镜下的肝门阻断变得安全、简单已成为需要。Currently, surgery is the main treatment for liver tumors. Due to the rich blood supply of the liver, the traditional open surgery mainly uses the traditional Pringle method and urinary catheter to block the hepatic portal intermittently to control the bleeding during liver resection. However, with the development of laparoscopic surgery, a large number of liver surgery can be done under laparoscope, but under laparoscope, the method of hepatic hilum blocking has always been a difficult problem, either obstructing the field of view, or not being able to open and block at will . Therefore, it has become a need to provide a simple hepatic portal occlusion device to make laparoscopic hepatic portal occlusion safe and simple.
发明内容Contents of the invention
本实用新型提供一种腹腔镜下简易肝门阻断器，由T字形卡口、压迫带、带状水囊、圆孔、插入式卡口、注水管和自护式压力控制注水装置组成，压迫带长12cm，宽0.8cm，厚0.2cm，为有弧度长扁形，适合在腹腔镜下通过1cmTrocar置入，长度为适合肝门阻断的长度，为医用橡胶制品，压迫带内侧缘衬有宽约0.8cm，厚约0.4cm(未充水时)的带状水囊，带状水囊与注水管的一端连接，注水管的直径0.2cm，长约40cm，外套有橡胶保护鞘，方便腹腔镜下引出体外，压迫带的头端带有T字形卡口，压迫带的尾端与插入式卡口相连接，插入式卡口设有与T字形卡口1相适的2个圆孔，用于调节初始阻断宽度，孔径均为0.3cm，插入式卡口可方便在腔镜下插拔，注水管的另一端与自护式压力控制注水装置相连，自护式压力控制注水装置7为直径约1.0cm的橡胶圆柱体，开口处为软质橡胶构成，开口直径0.3cm，内设有弹簧8和可伸缩的推进式活瓣9，拔除注射器后可自行封闭注水口，因此可以使用常规注射器向带状水囊注水或抽水，并保持带状水囊内压力，当带状水囊注水后会膨起，并使压迫带内空间缩小，从而起到阻断肝门血流的作用。The utility model provides a simple hepatic portal blocker under laparoscopy, which is composed of a T-shaped bayonet, a compression belt, a strip-shaped water bag, a round hole, a plug-in bayonet, a water injection pipe and a self-protecting pressure control water injection device. The compression belt is 12cm long, 0.8cm wide, and 0.2cm thick. It is long and flat with a radian, suitable for laparoscopic insertion through a 1cm Trocar, and the length is suitable for hepatic hilum blocking. It is made of medical rubber. The inner edge of the compression belt is lined with A strip-shaped water bag with a width of about 0.8cm and a thickness of about 0.4cm (when not filled with water). The strip-shaped water bag is connected to one end of the water injection pipe. The diameter of the water injection pipe is 0.2cm and the length is about 40cm. Extracted from the body under laparoscopy, the head end of the compression belt has a T-shaped bayonet, the tail end of the compression belt is connected to the plug-in bayonet, and the plug-in bayonet is provided with 2 round holes suitable for the T-shaped bayonet 1 , used to adjust the initial blocking width, the hole diameter is 0.3cm, the plug-in bayonet can be easily inserted and removed under the endoscope, the other end of the water injection pipe is connected with the self-protecting pressure control water injection device, and the self-protection pressure control water injection device 7 is a rubber cylinder with a diameter of about 1.0 cm. The opening is made of soft rubber with a diameter of 0.3 cm. A spring 8 and a retractable push valve 9 are arranged inside. After the syringe is pulled out, the water injection port can be closed automatically, so it can Use a conventional syringe to inject water or pump water into the band-shaped water bladder, and maintain the pressure in the band-shaped water bladder. When the band-shaped water bladder is filled with water, it will expand and shrink the space in the compression zone, thereby blocking the blood flow in the hepatic portal effect.
压迫带为医用橡胶制品。插入式卡口选用医用塑料材质。The compression belt is a medical rubber product. The plug-in bayonet is made of medical plastic.
本实用新型设计合理，构成原件简单，注水管细长，不会影响腔镜下手术视野，并且通过自护式压力控制注水装置可以随时使用常规注射器通过向水囊注水或抽水，拔出注射器后能自行封堵注水口，保持水囊压力，迅速控制肝门阻断，而不需要中断腔镜手术，节省了腹腔镜下留置肝门阻断的时间，且手术部位遮挡少，手术视野清晰，有利于开放或腹腔镜下肝脏手术的进行。The utility model has reasonable design, simple components, long and thin water injection pipe, which will not affect the surgical field of view under the endoscope, and can use a conventional syringe at any time through the self-protecting pressure control water injection device to inject or pump water into the water bag, and then pull out the syringe. It can block the water injection port by itself, maintain the pressure of the water bag, and quickly control the hilar occlusion without interrupting the laparoscopic operation, which saves the time of indwelling the hilar occlusion under the laparoscope, and the surgical site is less blocked, and the surgical field of view is clear. Conducive to open or laparoscopic liver surgery.
附图说明Description of drawings
图1是本实用新型立体结构示意图。Fig. 1 is a schematic diagram of the three-dimensional structure of the utility model.
图2是自护式压力控制注水装置结构示意图。Fig. 2 is a structural schematic diagram of a self-protecting pressure control water injection device.
图3是本实用新型在肝门阻断时的立体结构示意图。Fig. 3 is a schematic diagram of the three-dimensional structure of the utility model when the hepatic portal is blocked.
图4是本实用新型在工作和非工作状态时的原理示意图。Fig. 4 is a schematic diagram of the principle of the utility model in working and non-working states.
具体实施方式detailed description
本实用新型结合附图和实施例做进一步的说明。The utility model is further described in conjunction with the accompanying drawings and embodiments.
实施例1Example 1
参见图1，一种腹腔镜下简易肝门阻断器，包括T字形卡口1、带状水囊3的压迫带2、插入式卡口5、注水管6和自护式压力控制注水装置7组成，压迫带2长扁形，宽0.8cm，厚0.2cm，为略带弧度的医用橡胶制品，呈适合在腹腔镜下通过1cmTrocar置入，长约12cm，定制为适合肝门阻断的长度。压迫带2的内侧缘衬有宽约0.8cm，厚约0.4cm(未充水时)的带状水囊3，带状水囊3与橡胶注水管6的一端连接，注水管6直径0.2cm,长约40cm，外有橡胶保护鞘，方便腹腔镜下引出体外，压迫带2头端带有T字形卡口1，尾端与医用塑料材质的插入式卡口5相连接，插入式卡口5设有2个圆孔4，孔径均为0.3cm，T字形卡口1与圆孔4相适，用于调节压迫带2环绕肝十二指肠韧带初始阻断宽度，注水管6的另一端与自护式压力控制注水装置7相连接，自护式压力控制注水装置7为直径约1.0cm的橡胶圆柱体，开口处为软质橡胶构成，开口直径0.3cm，内设有弹簧8和可伸缩的推进式活瓣9，拔除注射器后可自行封闭注水口，因此可以使用常规注射器向水囊注水或抽水，并保持水囊内压力。当带状水囊注水后会膨起，并使压迫带内空间缩小，从而起到阻断肝门血流的作用。腹腔镜下简易肝门阻断器的特点是构成原件简单，注水管细长，不会影响腔镜下手术视野，并且可随时采用常规注射器通过向水囊注水或抽水，迅速控制肝门阻断，而不需要中断腔镜手术。See Figure 1, a laparoscopic simple porta hepatic blocker, including a T-shaped bayonet 1, a compression belt 2 with a band-shaped water bladder 3, a plug-in bayonet 5, a water injection tube 6, and a self-protecting pressure-controlled water injection device 7 components, 2 long flat compression bands, 0.8cm wide, 0.2cm thick, medical rubber products with a slight curvature, suitable for laparoscopic insertion through a 1cm Trocar, about 12cm long, customized to a length suitable for hepatic hilum blocking . The inner edge of the compression band 2 is lined with a band-shaped water bag 3 with a width of about 0.8 cm and a thickness of about 0.4 cm (when not filled with water). The band-shaped water bag 3 is connected with one end of the rubber water injection pipe 6, and the diameter of the water injection pipe 6 is 0.2 cm. , about 40cm long, with a rubber protective sheath on the outside, which is convenient to lead out of the body under laparoscopy. 5 is provided with 2 round holes 4, the diameter of which is 0.3cm. The T-shaped bayonet 1 is suitable for the round holes 4, and is used to adjust the initial blocking width of the compression zone 2 around the hepatoduodenal ligament. The other part of the water injection pipe 6 One end is connected with the self-protecting pressure control water injection device 7, the self-protection pressure control water injection device 7 is a rubber cylinder with a diameter of about 1.0 cm, the opening is made of soft rubber, the opening diameter is 0.3 cm, and a spring 8 and The retractable push-type valve 9 can automatically close the water injection port after the syringe is pulled out, so a conventional syringe can be used to fill or draw water to the water bag and maintain the pressure in the water bag. When the band-shaped water sac is filled with water, it will swell and shrink the space in the compression zone, thereby blocking the blood flow in the hepatic portal. The laparoscopic simple hepatic hilar blocker is characterized by simple components and a slender water injection tube, which will not affect the surgical field of view under the laparoscope, and can be used at any time to quickly control the hepatic hilar block by injecting or pumping water into the water bag with a conventional syringe , without interrupting laparoscopic surgery.
实施例2使用说明Example 2 Instructions for use
参见图2，本实用新型的通过自护式压力控制注水装置7达到进出水的控制。自护式压力控制注水装置的底部设有弹簧装置8，可伸缩的推动前方的活瓣部件9，在无注射器推注压力的情况下，活瓣部件9在弹簧装置8的推动下，与固定装置10紧密贴合，从而封堵出水口。而当有注射器推动的情况下，活瓣部件9后移，注水通道开放，可以向带状水囊3注水或抽水，而当拔除注射器后，活瓣部件9又立即自行将注水口封闭，无需额外操作，从而维持带状水囊3内的压力。Referring to Fig. 2, the utility model achieves the control of water in and out through the self-protecting pressure control water injection device 7. The bottom of the self-protecting pressure control water injection device is provided with a spring device 8, which can telescopically push the valve part 9 in front. In the case of no injection pressure of the syringe, the valve part 9 is pushed by the spring device 8 and fixed The device 10 fits tightly, thereby blocking the water outlet. And when there is a syringe to promote, the valve part 9 moves backward, and the water injection channel is opened, and water can be filled or pumped to the strip water bag 3, and when the syringe is pulled out, the valve part 9 immediately seals the water injection port voluntarily. Additional operations, thereby maintaining the pressure in the ribbon water bag 3.
参见1-4，本实用新型工作时，在腹腔镜下通过10mmTrocar将本装置置入腹腔后，将压迫带2环绕肝十二指肠韧带，并根据个体的差异，将T字形卡口1固定于合适的圆孔4调节初始阻断宽度，带状水囊3内侧朝向肝十二指肠韧带，同时将注水管6引出体外，在非工作状态时(图4左)，压迫带2的带状水囊3扁平，对肝门血流无明显阻断作用；而在工作状态(图4右)，带状水囊3注水后会膨，使压迫带2内空间缩小，从而起到阻断肝门血流的作用。See 1-4. When the utility model is working, after the device is placed into the abdominal cavity through a 10mmTrocar under a laparoscope, the compression belt 2 is wrapped around the hepatoduodenal ligament, and the T-shaped bayonet 1 is fixed according to individual differences. Adjust the initial blocking width in the appropriate round hole 4, the inner side of the band-shaped water bag 3 faces the hepatoduodenal ligament, and at the same time lead the water injection tube 6 out of the body. The band-shaped water sac 3 is flat and has no obvious blocking effect on the blood flow of the hepatic hilum; while in the working state (Fig. 4 right), the band-shaped water sac 3 will expand after being filled with water, reducing the space in the compression zone 2, thereby blocking The role of hepatic portal blood flow.
Claims (5)
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| Application Number | Priority Date | Filing Date | Title |
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| CN201620026765.7U CN205339046U (en) | 2016-01-12 | 2016-01-12 | Simple and easy hepatic portal block device under peritoneoscope |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201620026765.7U CN205339046U (en) | 2016-01-12 | 2016-01-12 | Simple and easy hepatic portal block device under peritoneoscope |
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| CN205339046U true CN205339046U (en) | 2016-06-29 |
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| CN201620026765.7U Expired - Fee Related CN205339046U (en) | 2016-01-12 | 2016-01-12 | Simple and easy hepatic portal block device under peritoneoscope |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106580388A (en) * | 2016-12-12 | 2017-04-26 | 傅哲泓 | Inflatable vascular clamp |
| CN111281466A (en) * | 2020-03-17 | 2020-06-16 | 中国人民解放军海军军医大学第三附属医院 | Porta hepatis blocking belt capable of being buckled and disassembled, having timing function and being free of blocking clamp |
| CN113288309A (en) * | 2021-06-01 | 2021-08-24 | 中山大学附属第五医院 | Water/gas filling type hepatic portal blocking device |
| CN114587480A (en) * | 2022-03-23 | 2022-06-07 | 中国人民解放军火箭军特色医学中心 | Aorta blocking balloon device based on 18F-FDG detection and positioning |
-
2016
- 2016-01-12 CN CN201620026765.7U patent/CN205339046U/en not_active Expired - Fee Related
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106580388A (en) * | 2016-12-12 | 2017-04-26 | 傅哲泓 | Inflatable vascular clamp |
| CN111281466A (en) * | 2020-03-17 | 2020-06-16 | 中国人民解放军海军军医大学第三附属医院 | Porta hepatis blocking belt capable of being buckled and disassembled, having timing function and being free of blocking clamp |
| CN113288309A (en) * | 2021-06-01 | 2021-08-24 | 中山大学附属第五医院 | Water/gas filling type hepatic portal blocking device |
| CN114587480A (en) * | 2022-03-23 | 2022-06-07 | 中国人民解放军火箭军特色医学中心 | Aorta blocking balloon device based on 18F-FDG detection and positioning |
| CN114587480B (en) * | 2022-03-23 | 2023-07-21 | 中国人民解放军火箭军特色医学中心 | Aortic occlusion balloon device based on 18F-FDG detection and positioning |
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| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20160629 |